| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,697 |
2,689 |
$131K |
| V2020 |
Frames, purchases |
3,393 |
3,357 |
$70K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,669 |
2,646 |
$56K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,087 |
1,084 |
$41K |
| 92015 |
Determination of refractive state |
4,081 |
4,064 |
$32K |
| 92250 |
|
486 |
485 |
$20K |
| 92341 |
|
616 |
614 |
$19K |
| 92083 |
|
60 |
58 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$984.24 |
| 92133 |
|
26 |
26 |
$838.50 |